The Broad Group - 85 Bath Road

At the last inspection in March 2016 the services was rated 'Good'. At this inspection we found the service remained 'Good'. The evidence continued to support the rating of Good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People continued to enjoy living at the home and to have their safety needs met by staff who knew their individual safety risks well. Staff understood when people's safety needs changed and responded to these, so people could maintain as much independence as safely possible. Checks were made on the suitability of staff before they came to work at the home, to promote people's safety.

There were enough staff to care for people. More staff were being recruited to meet the needs of people coming to live at the home. Action was taken to manage people's medicines safely and to reduce the chance of infections occurring. Systems were in place to monitor and learn from any accidents and untoward incidents, if these occurred.

People and their relatives were encouraged to meet staff and visit the home so they could make informed decisions about moving in. Staff considered the advice of other health and social care professionals when assessing if they could meet people's care and well-being needs.

We saw people were confident to ask for the help they wanted. People's relatives were complimentary about how staff used their skills and knowledge to care for their family members. The training staff had been supported to do matched the needs of the people living at the home. We saw staff used these skills so people's individual needs were met, and so people were empowered to make their own decisions where possible.

Some people liked to make their own drinks and to decide what they would like to eat with support from staff. Staff understood the links between people's health and nutrition. Staff supported people to have

enough to eat and drink so they would remain well. People's relatives told us they were confident staff would assist their family members to enjoy the best health possible. People's relatives advised us they were consulted about important health decisions for their family members.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

The compassionate approach of staff was highlighted by people's relatives, and we saw people enjoyed spending time with the staff who cared for them. Staff spoke warmly about the people they supported and wanted them to be happy. People were encouraged to make their own day to day decisions about the care they wanted. Staff made this as easy as possible for people, by using their preferred methods of communication. Staff promoted people's right to dignity, independence and privacy in the way they cared for them.

Care was planned to reflect people's individual preferences and needs. Staff checked to make sure people's preferences had not changed over time. When this happened, staff adapted their plans to meet people's emerging needs. The views of people's relatives and other health and social care professions were listened to, to help to ensure people's care was planned in the best way for them.

None of the relatives we spoke with had wanted to make any complaints about the care provided, as they considered it to be good. We saw there were systems in place to support people to raise any concerns they had or to make any complaints.

The registered manager spent time providing care to people, so they could be assured people were receiving good quality care. People's relatives and staff told us any suggestions for developing people's care further were listened to.

Checks were made by the provider and registered manager so they could be sure the people benefited from living in a home where planned development was focused on the experiences of people who lived there, and responded to their changing needs.

The five questions we ask about services and what we found